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From bench to bedside: preclinical evaluation of a self-inactivating gammaretroviral vector for the gene therapy of X-linked chronic granulomatous disease.


ABSTRACT: Chronic granulomatous disease (CGD) is a primary immunodeficiency characterized by impaired antimicrobial activity in phagocytic cells. As a monogenic disease affecting the hematopoietic system, CGD is amenable to gene therapy. Indeed in a phase I/II clinical trial, we demonstrated a transient resolution of bacterial and fungal infections. However, the therapeutic benefit was compromised by the occurrence of clonal dominance and malignant transformation demanding alternative vectors with equal efficacy but safety-improved features. In this work we have developed and tested a self-inactivating (SIN) gammaretroviral vector (SINfes.gp91s) containing a codon-optimized transgene (gp91(phox)) under the transcriptional control of a myeloid promoter for the gene therapy of the X-linked form of CGD (X-CGD). Gene-corrected cells protected X-CGD mice from Aspergillus fumigatus challenge at low vector copy numbers. Moreover, the SINfes.gp91s vector generates substantial amounts of superoxide in human cells transplanted into immunodeficient mice. In vitro genotoxicity assays and longitudinal high-throughput integration site analysis in transplanted mice comprising primary and secondary animals for 11 months revealed a safe integration site profile with no signs of clonal dominance.

SUBMITTER: Stein S 

PROVIDER: S-EPMC6461155 | biostudies-literature | 2013 Jun

REPOSITORIES: biostudies-literature

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From bench to bedside: preclinical evaluation of a self-inactivating gammaretroviral vector for the gene therapy of X-linked chronic granulomatous disease.

Stein Stefan S   Scholz Simone S   Schwäble Joachim J   Sadat Mohammed A MA   Modlich Ute U   Schultze-Strasser Stephan S   Diaz Margarita M   Chen-Wichmann Linping L   Müller-Kuller Uta U   Brendel Christian C   Fronza Raffaele R   Kaufmann Kerstin B KB   Naundorf Sonja S   Pech Nancy K NK   Travers Jeffrey B JB   Matute Juan D JD   Presson Robert G RG   Sandusky George E GE   Kunkel Hana H   Rudolf Eva E   Dillmann Adelina A   von Kalle Christof C   Kühlcke Klaus K   Baum Christopher C   Schambach Axel A   Dinauer Mary C MC   Schmidt Manfred M   Grez Manuel M  

Human gene therapy. Clinical development 20130601 2


Chronic granulomatous disease (CGD) is a primary immunodeficiency characterized by impaired antimicrobial activity in phagocytic cells. As a monogenic disease affecting the hematopoietic system, CGD is amenable to gene therapy. Indeed in a phase I/II clinical trial, we demonstrated a transient resolution of bacterial and fungal infections. However, the therapeutic benefit was compromised by the occurrence of clonal dominance and malignant transformation demanding alternative vectors with equal e  ...[more]

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